ba-bai-ke-re MMTJA, Wen NR, Hu YL, Zhao L, Tuxun T, Husaiyin A, Sailai Y, Abulimiti A, Wang YH, Yang P. Biofeedback-guided pelvic floor exercise therapy for obstructive defecation: An effective alternative. World J Gastroenterol 2014; 20(27): 9162-9169 [PMID: 25083090 DOI: 10.3748/wjg.v20.i27.9162]
Corresponding Author of This Article
Yalikun Sailai, Surgical Assistant Professor, MD, General Surgical Department of First Affiliated Hospital of Xinjiang Medical University, Liyushan Road, No 1, Urumqi 830011, Xinjiang Uygur Autonomous Region, China. 834140633@qq.com
Research Domain of This Article
Surgery
Article-Type of This Article
Clinical Trials Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Ma-Mu-Ti-Jiang A ba-bai-ke-re, Tuerhongjiang Tuxun, Aierhati Husaiyin, Yalikun Sailai, Alimujiang Abulimiti, Liang Zhao, General Surgical Department of First Affiliated Hospital of Xinjiang Medical University, Urumqi 830011, Xinjiang Uygur Autonomous Region, China
Ni-Re Wen, Otolaryngological Department of Urumqi Military Hospital of Lanzhou Military Center, Urumqi 830011, Xinjiang Uygur Autonomous Region, China
Yun-Long Hu, Peng Yang, Surgical Department, First Affiliated Hospital, Xinjiang Medical University, Urumqi 830011, Xinjiang Uygur Autonomous Region, China
Yun-Hai Wang, Digestive and Vascular Surgical Center of First Affiliated Hospital of Xinjiang Medical University, Urumqi 830011, Xinjiang Uygur Autonomous Region, China
Author contributions: A ba-bai-ke-re MMTJ contributed to the conception, design, and revision of this article for critically important intellectual content; Tuxun T, Husaiyin A and Abulimiti A performed control, recording, and data acquisition; Hu YL and Abulimiti A provided substantial contributions, including statistical calculations and study design; Wen NR and Zhao L performed intervention control, recording, data acquisition, and final approval of the version to be published; Sailai Y, Wang YH, and Yang P performed analysis and interpretation of the data.
Supported by Research Award Fund of First Affiliated Hospital of Xinjiang Medical University, Fund Serial No. 2012YFY30
Correspondence to: Yalikun Sailai, Surgical Assistant Professor, MD, General Surgical Department of First Affiliated Hospital of Xinjiang Medical University, Liyushan Road, No 1, Urumqi 830011, Xinjiang Uygur Autonomous Region, China. 834140633@qq.com
Telephone: +86-991-4366142 Fax: +86-991-4366142
Received: December 30, 2013 Revised: February 26, 2014 Accepted: April 15, 2014 Published online: July 21, 2014
Core Tip
Core tip: Until now, there have been no standard treatment methods for obstructed defecation. Although we believe biofeedback is more beneficial for obstructive defecation, recent controlled studies indicate that the efficacy of manometric biofeedback treatment for obstructive defecation remains controversial. The main purpose of this research was to assess and compare the quality of life scores of patients diagnosed with obstructive defecation following treatment with biofeedback therapy or oral polyethylene glycol management. Biofeedback had the clear effect of teaching patients how to squeeze and relax their anorectal and pelvic floor muscles during defecation. The data in this study show a clear superiority of biofeedback related to oral polyethylene glycol for the treatment of this subtype of constipation. If this research was extended to large multicenter randomized trials and its efficiency proven, biofeedback could become the standard treatment method for obstructive defecation.
